Provider Demographics
NPI:1265863716
Name:MEINHOLZ, LAURIE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:
Last Name:MEINHOLZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-1803
Mailing Address - Country:US
Mailing Address - Phone:563-382-1099
Mailing Address - Fax:
Practice Address - Street 1:209 E WATER ST
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-1803
Practice Address - Country:US
Practice Address - Phone:563-382-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor